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DEPARTMENT OF COMMUNITY ® `
AND ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 98057 1 425-430-7200
www.rentonwa.gov
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Susan Hopkins and Marjorie Lynn
ADDRESS:15005 132nd Ave., SE
CITY: Renton
STATE:
STATE:
P:
4058
PHONE NUMBER: (425) 260_9985
EMAIL ADDRESS*suehopkins49@icioud.com
❑ I prefer to receive all correspondence via US Mail.
APPLICANT (if other than owner)
NAME:
COMPANY (if applicable):
ADDRESS:
CITY:
STATE:
ZIP:
PHONE NUMBER:
EMAIL ADDRESS*:
❑ I prefer to receive all correspondence via US Mail.
CONTACT PERSON
NAME: Susan Hopkins
COMPANY (if applicable):
ADDRESS:15005 132nd Ave., SE
CITY:
STATE: STATE:
WA98058
ZIP:
PHONE NUMBER (425) 260-9985
EMAIL ADDRESS*suehopkins49@icloud.com
❑ I prefer to receive all correspondence via US Mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Hopkins Shed Variance
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
15005 132nd Ave., SE
Renton, WA 98058
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
918970-0125-09
EXISTING LAND USE(S):
Single Family
PROPOSED LAND USE(S):
Single Family
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
L-14 Residential Low Density
PROPOSED COMPREHENSIVE PLAN MAP
DESIGNATION (if applicable)
EXISTING ZONING:
R-4
PROPOSED ZONING (if applicable):
SITE AREA (in square feet):
9,660
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
0
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: 0
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
NUMBER OF PROPOSED LOTS (if applicable)
NUMBER OF NEW DWELLING UNITS (if applicable):
NUMBER OF EXISTING DWELLING UNITS (if applicable):
PROJECT VALUE:
$46,027
*By completing the email address field the owner/applicant/contact person is opting to receive all formal notifications
and project documents in digital format via email unless otherwise requested.
PROJECT INFORMATION (CONTINUED)
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable):
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 970
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): 420
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 96
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable):
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE
NEW PROJECT (if applicable):
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE FOOTAGE (if applicable):
❑
AQUIFER PROTECTION AREA ONE
❑
AQUIFER PROTECTION AREA TWO
❑
FLOOD HAZARD AREA
sq. ft.
❑
GEOLOGIC HAZARD
sq. ft.
❑
HABITAT CONSERVATION
sq. ft.
❑
SHORELINE STREAMS & LAKES
sq. ft.
❑
WETLANDS
sq. ft.
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following information included
SITUATE IN THE NE QUARTER OF SECTION 21 TOWNSHIP 23 N, RANGE 5 _,W.M. IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) Susan Hopkins and Marjorie Lyn r declare under penalty of perjury under the laws of the State of Washington that I
am (please check one) (3 the current owner of the property involved in this application or 0 the authorized representative to act for a
corporati n (please attach proof of authorization) and that the foregoing statements and answers herein contained and the information
herewitl3re in all respectott ue an orr�ct to the best of my knowledge and belief.
STATE OF WASHINGTON
SS
COUNTY OF KING
2 / 9 z- v z--/
ate ignature f Own ^presentative Date
I certify that I know or have satisfactory evidence that /t6 R;?S A"k)Led this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
,1�j I I r Z z l _
Dated ``,��.e���i i i i i f Notary P is in and for the State of
��� v U C
��Gsiolv 'I!',,
Notary (Print):
104711
°1,P,oG Z any appointment expires:
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